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General NPI Number Information
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NPI Number | 1164495248
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Entity Type | Individual
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Provider Name | DEBORAH COMPEAU CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 1375 N MAIN ST
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City | LAPEER
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State | MI
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Zip | 48446-1350
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Country | US
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Telephone | 810-667-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 401 S BALLENGER HWY ATTN SURGICAL SERVICES
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City | FLINT
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State | MI
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Zip | 48532-3638
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Country | US
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Telephone | 810-342-4917
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Fax | 810-342-1335
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4704139815
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP9398728
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 6189
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License Number State | NC
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